Almost one in eight people admitted
to a Victorian hospital will suffer a complication
The
Medical Renaissance Group
Dear
Friends
MayI wish
you an absolutely Wonderful 2004
I enclose
details of important media information as to what is going on in our Health
System
The amount
of Hospital based errors causing grevious harm to our
patients is terrible.
Now
when i send a patient to a local Casualty I fear for
these people as to the kind of care they will get. Although the strains on
General Practice are enormous due to the kind of band aid medicine practiced
the strains on Doctors in the Hospital System must be at breaking point.
In my
recent experience with my patients at hospitals I have seen burst appendix
caused by the patient being left to wait overnifght
before operation, missed diagnosis of appendix after 3
visits to cas before diagnosis and
operation and Inability of a casualty Officer to diagnose
severe septic tonsillitis . Also I have an 8o year old veteran
patient with severe cellulitis of his hand and septicemia
being kept waiting for hours in Cas, told to return
daily for 2 days and then shipped for intavenous antibiotics to a hospital in Prahran from
Croydon where he stayed for 7 days.. The sytem is
collapsing due to inadequate supervisiuon of Juior Medical Staff and what seems to be utter apathy inthe Hospital System
Does
anybody have any comments??
It strikes
me the Hospital System is killing people and creating more illness than it
cures here in
Do we
want our Colleagues to treat or rather destroy us in this way when we are
patients??
What can we
do about this terrible horrific state of affairs?
Sibncerely
Michael
Hospital hazards shock experts
By Tom Noble
Health Editor Age
December 11, 2003
Almost one in eight people admitted to a
Victorian hospital will suffer a complication during their stay, according a
study of 1.65 million hospital visits.
"It's a staggering number," said
one of the researchers, Stephen Duckett. "I
don't think people realise when they go to hospital that there is a risk that
things will go wrong.
"At the very least, it's something we
have to address. It's a problem. We've got to fix it."
The analysis, by La Trobe
University's school of public health, draws on State Government data on patient
records for visits to public and private hospitals in 2000-01.
The study found that 135,849 cases, or 8.3
per cent of those who visited hospital, suffered a complication. Those who had
a same-day visit suffered fewer complications (1.4 per cent) than those who
spent at least one night in hospital (11.5 per cent).
Professor Duckett
said the study results were comparable to other inquiries into adverse events
and complications in Australian hospitals.
"This study, which looked at broad
general computerised data, ended up with roughly the same results as have come
out of bigger, more detailed studies. And we think the numbers are an
underestimate," he said.
Professor Duckett
said the complications, which developed after arriving at hospital, were not
necessarily caused by medical errors by staff.
Complications were more frequent in the
elderly, and those who developed complications stayed longer in hospital.
"A complication is something that goes
wrong after you have been admitted to hospital. It might be something simple
like constipation, a bit more complex like a urinary tract infection, or it
might be quite complex."
Professor Duckett
said it was not clear how many complications were preventable.
"We are not saying some individual is at
fault. We can't tell that from the record. All we can say is something
happened. We need to know about it, and we need to know how many there
are."
Professor Duckett
said the medical profession went into denial after a 1995 report suggested that
more than 16 per cent of Australian patients suffered an adverse event during
their hospital stay, and it was not until 2000 that federal and state health
ministers set up the Australian Council for Safety and Quality in Health Care,
taking a national approach to the issue.
In August, The Age revealed that the
state's hospitals reported to the Health Department 16 deaths caused by medical
mistakes for the year to
Almost a dozen other people suffered injury
because of staff treating the wrong patient or body part, instruments being
left behind after surgery, and neurological damage.
A range of errors led to the deaths,
including three cases in which patients, including a child, were given the
wrong medication. Medical experts regard the 16 reported deaths as only a small
proportion of the real number, with a new investigative unit based at the
coroner's office believing more than one death a week reported to the coroner
by Victorian hospitals might be caused by medical mistakes.
Professor Duckett
said The Alfred hospital was one that studied its complications-of-care data in
a bid to track patterns and trends.
"I think all hospitals should use it
themselves to actually track what's happening inside the hospital," he
said. "Are they improving? Are they able to use the data to focus on
problem areas they identify in their own quality improvement process?"
Professor Duckett
said tapping into existing data - entered when a patient's stay ended - could
provide timely
GP clinics plan to cut hospital queues
By Paul Heinrichs The
Age
More than one in three Victorian patients
attending hospital emergency departments is suffering ailments that should be
treated by a general practitioner.
In a bid to stop the unnecessary flooding of
hospitals with non-emergency cases, the State Government wants to divert these
patients to GP clinics it wants to establish in hospital campuses.
New figures show that a statewide
average of 38 per cent of patients have only minor problems but are attending
hospitals because of falling rates of bulk-billing by GPs and the GPs' reduced
availability, especially for after-hours services, in many areas.
The State Government has become alarmed at
the rapid growth in this trend - up to 21 per cent in the past year in some
places- and is seeking Federal Government co-operation in setting up the
diversion system.
The so-called "primary care type"
patients are clogging emergency departments, delaying treatment for more
seriously ill people and the pressure is creating knock-on effects in the
running of the hospitals.
Among the minor ailments, constipation,
rolled ankles and ear infections or excess wax are some of those unnecessarily
taking up the time of physicians and other emergency staff.
The problem is most severe in the outer
suburban, regional and rural hospitals, where up to two-thirds of people
turning up at emergency departments should have been treated by GPs.
The GP clinic diversion system is already
working effectively in hospitals in the Hunter Valley of NSW.
The Victorian Human Services Department is
keen to see the clinics set up at the Northern (where a similar system is being
tested), Sunshine,
It defines the "primary care type"
category of patients as those who did not arrive in an ambulance, were not
referred by a GP, were assessed as a triage category of 4 or 5, were not
admitted and stayed fewer than 12 hours.
The lowest outer-suburban rate was at
The data also shows that "PCT"
patients mostly turn up in the evenings and at weekends.
Victorian Health Minister Bronwyn Pike told
the Senate Select Committee inquiry into Medicare last year that there had been
2 million fewer bulk-billed GP services in
In the federal seat of Indi,
for instance, the bulk-billing rate in the September quarter was the lowest in
These figures help explain why the
Ms Pike told The Sunday Age that she had discussed
the idea for GP clinics at emergency departments with Federal Health Minister
Tony Abbott soon after he was appointed in September, and he subsequently wrote
saying he was willing to explore the idea.
"That was most encouraging," she
said, indicating
Ms Pike said that in a GP clinic, people
would not keep getting shuffled back in the queue, for instance, as higher
priority cases arrived, as happened under the triage system in emergency wards.
But there appear to be three stumbling blocks
that could defeat the Victorian proposal.
The first is about the technical legality of
the proposal - at present, it is against the law for
doctors to charge Medicare for a service which is already being paid for
through the Commonwealth's contribution to hospital funding.
Ms Pike said this should be overcome because
the Federal Government was already saving millions of dollars on bulk-billing
costs, including $15.8 million in after-hours costs, that
were now picked up by the hospitals.
She said
She said that under the Coalition
Government's ideology, it would not mandate doctors to bulk-bill from the
clinics, but they were unlikely to work without bulk-billing.
If the Federal Government sanctioned
bulk-billing, hospitals would play their part through savings on rent, staffing
and ancillary medical costs for the clinics.
This story was found at: http://www.theage.com.au/articles/2004/01/03/1072908954484.html
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